Senior Corps Application

Senior Corps Grant Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0035 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Senior Corps Application Form and Instruction
1 Senior Corps Grant Application Grant Application 2011 Changes Highlighted - 6.3.11 AB.doc www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Senior Corps Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR XII (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Senior Corps Grant Application	Grant Application 2011 Changes Highlighted - 6.3.11 AB.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title: CNCS	FR Citation: 45 FR 12

Number of Respondents: 1,350	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,350	0	1,350
Annual IC Time Burden (Hours)	18,495	675	17,820
Annual IC Cost Burden (Dollars)	4,725	0	4,725

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.